Abstract

Metformin is a widely used biguanide for the treatment of type 2 diabetes mellitus. Metformin-induced lactic acidosis (MALA) is a rare but potentially fatal entity in the pediatric age group, seen mainly in suicide attempts in adolescents. MALA has not yet been reported in younger patients or pediatric patients taking regular therapeutic doses. Here, we report a three-year-old female receiving therapeutic metformin who developed MALA. MALA should be suspected in patients with unexplained lactic acidosis and on regular metformin, especially in the setting of renal impairment or hypoxic events.

Keywords

Publication details

DOI
10.5001/omj.2020.104
Journal
Oman Medical Journal
Publisher
Oman Medical Specialty Board
Open access
Gold open access

Cite this article

APA 7

Al-Abdwani, R. (2020). Metformin-induced Lactic Acidosis Reported in the Youngest Pediatric Patient with Impaired Renal Function. Oman Medical Journal. https://doi.org/10.5001/omj.2020.104

MLA 9

Al-Abdwani, Raghad. "Metformin-induced Lactic Acidosis Reported in the Youngest Pediatric Patient with Impaired Renal Function." Oman Medical Journal, 2020. https://doi.org/10.5001/omj.2020.104.

Chicago (author–date)

Al-Abdwani, Raghad. 2020. "Metformin-induced Lactic Acidosis Reported in the Youngest Pediatric Patient with Impaired Renal Function." Oman Medical Journal. https://doi.org/10.5001/omj.2020.104.

Harvard

Al-Abdwani, R. (2020) 'Metformin-induced Lactic Acidosis Reported in the Youngest Pediatric Patient with Impaired Renal Function', Oman Medical Journal. doi:10.5001/omj.2020.104.

Vancouver

Al-Abdwani R. Metformin-induced Lactic Acidosis Reported in the Youngest Pediatric Patient with Impaired Renal Function. Oman Medical Journal. 2020. doi:10.5001/omj.2020.104

IEEE

R. Al-Abdwani, "Metformin-induced Lactic Acidosis Reported in the Youngest Pediatric Patient with Impaired Renal Function," Oman Medical Journal, 2020, doi: 10.5001/omj.2020.104.